| NPI | 1780116368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC1483) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2022-08-09 |